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Tennessee rates for HCPCS 28490

Closed treatment of fracture great toe, phalanx or phalanges; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $2,137.96 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $154.88 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,513.56 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $194.98 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $177.83 / $281.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $3,890.45 / $3,890.45
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$549.54 / $549.54 / $549.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,258.93 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $812.83 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $151.36 / $257.04